Maddy summaryHD 2345, titled "An Act relative to physician assistant interstate compact," creates a legal framework allowing physician assistants (PAs) licensed in one participating state to practice in other participating states without obtaining a new license. It establishes a "compact privilege" enabling PAs to provide medical services to patients located in another participating state, with oversight by the state where the patient is physically present during care. Key requirements include holding a current national certification (NCCPA PANCE), passing a criminal background check, and having no serious convictions, while states must share disciplinary information through a centralized data system. This bill directly affects PAs seeking to practice across state lines, patients receiving care in different states, and military families by simplifying licensure for active-duty personnel and spouses.
Rep. John Marsi
Sponsored bills
Maddy summaryThis bill creates a Midwifery Workforce Development Fund to support midwifery education, retention, and birth centers. The fund will finance midwifery student tuition, licensing fees, childcare stipends, loan forgiveness for midwives serving underserved areas, and grants for midwifery training programs. It also requires that certified midwives and freestanding birth centers be paid the same rate as physicians for equivalent services under state employee health plans. The bill directly affects midwifery students, practicing midwives, birth centers, and state health programs by providing dedicated funding and ensuring equitable reimbursement.
Maddy summaryThis bill creates a PFAS Remediation Trust Fund to address contamination in Massachusetts drinking water, groundwater, soil, and other environmental media. It directly affects communities with PFAS pollution, including vulnerable environmental justice areas, private well owners, and public water systems. The fund provides grants for PFAS treatment, remediation, and outreach programs, prioritizing communities with limited resources. Money comes from settlements with PFAS manufacturers, other grants, and interest, with strict rules requiring repayment if responsible parties are later identified.
Maddy summaryHD 830 increases the monthly personal needs allowance for long-term care residents in Massachusetts from $72.80 to $113.42. It directly affects individuals living in licensed nursing facilities, chronic hospitals, rest homes, or other approved medical institutions who are not maintaining their own homes. The bill ensures these residents retain the first $113.42 of their monthly income for personal expenses or receive the difference if their income is lower, with the amount automatically adjusted annually at the same rate as other state supplementary payments. This change applies to all relevant care settings covered under chapters 117A, 118A, and 118E of the General Laws.
Senate, June 15, 2026 -- The committee on Aging and Independence to whom was referred the petition (accompanied by bill, Senate, No. 3056) (subject to Joint Rule 12) of Michael O. Moore, Patricia D. Jehlen, Robyn K. Kennedy, John J. Marsi and others for legislation relative to medication administration in rest homes, report the accompanying bill (Senate, No. 3122).
Maddy summaryH 5022 prohibits health insurance companies from denying payment for covered services solely because a patient received a referral from a doctor outside the insurance network. This affects patients seeking care from non-network providers and requires insurers to cover services under the same terms as network referrals. The bill amends multiple sections of Massachusetts health insurance laws (including Chapters 32A, 32B, 94C, 175, 176A, 176B, 176G, and 176I) to include this uniform rule. It takes effect one year after enactment for all new, renewed, or amended insurance contracts.
Maddy summaryThis bill sets new wage standards for direct care workers in Massachusetts human services programs. It requires that direct care staff wages meet or exceed the 75th percentile of similar jobs in the state (based on Bureau of Labor Statistics data), with salary increases for these roles tied to this benchmark. The law specifically excludes top executives (like CEOs and CFOs) from these wage requirements. It also mandates transparent calculation of fringe benefits and payroll costs for providers, and ensures compliance won't reduce funding for existing social service programs. The changes take effect 180 days after enactment, with a planning process starting July 1, 2025.
By Mr. Fattman, a petition (accompanied by bill, Senate, No. 3031) (subject to Joint Rule 12) of Ryan C. Fattman and John J. Marsi for legislation to establish a sick leave bank for Stephanie Rivera, an employee of the Worcester County Sheriff's Office. Public Service.
Maddy summaryThis bill (H 5096) extends the deadline for the town of Southbridge to issue additional licenses allowing on-premises sales of all alcoholic beverages. It amends a 2022 law by changing the expiration date from December 31, 2025, to January 2, 2029. The change directly affects Southbridge town officials, giving them an additional three years to grant new licenses for bars and restaurants. The bill only modifies the existing deadline without altering licensing rules or creating new requirements.
By Mr. Durant and Mr.Ashe of Longmeadow, a joint petition (accompanied by bill, Senate, No. 3091) (subject to Joint Rule 12) of Peter J. Durant, Brian M. Ashe, Jacob R. Oliveira, Joanne M. Comerford and other members of the General Court for legislation to create crumbling concrete relief for homeowners. Financial Services.